PATIENT NAME: Steven Garcia
SEX: Male
AGE : 12 YO
D.O.B:
CHIEF COMPLAINT: “Really bad right knee pain” x 1month
HISTORY OF PRESENT ILLNESS: This 12 year-old, adolescent male presents today to pediatric practice complaining of “really bad right knee pain” that has been going on for 1-month month but has worsened to the point where patient had to stop playing soccer during school gym class today which prompted current visit. Patient rates pain as an 8 out of 10 and states that it is localized only to his right knee. The severity of the pain makes it hard to bear weight on the right leg and patient admits that that he has been limping for a month. Activities such as running seem to make the pain worse, while patient states that rest and …show more content…
Gastrointestinal: Patient denies stomach pain, nausea, vomiting, or diarrhea. Genitourinary: Patient denies pain, burning or stinging upon urination. No increased urination or changes in urinary patterns. Musculoskeletal: Patient admits to limp with right knee pain and weakness. Denies other joint pain, swelling, tenderness, redness. Neurologic: Patient denies numbness or tingling.
Psychiatric: SEE SOCIAL HISTORY.
Endocrine: Patient denies bruising easily.
PHYSICAL EXAMINATION:
General: Steven is a 12 year-old obese male who into exam room with Mother who was supporting him as he cannot bear weight on right leg. Appears embarrassed and anxious about PE.
Vital Signs:
Temp: 98.1
Respiration: 17
Pulse: 90
Blood Pressure: 128/84
Height: 63”
Weight: 179 lbs
BMI: 31.7 Skin: Open and closed comedones throughout face. No erythema, lesions.
Head: Head is normocephalic, atraumatic
Eyes: PERRLA, sclera anicteric, no erythema, injection, discharge. VA 20/20 individually and bilaterally uncorrected. Ears: EAC clear bilaterally, TMs shiny grey, hearing is grossly intact bilaterally.
Nose: Patent nares bilaterally, no discharge or sinus …show more content…
Walk away from the bully. Bullies want to know they have control over your emotions so don’t react with anger or retaliate with physical force. If you walk away, ignore them, or calmly and assertively tell them you’re not interested in what they have to say, you’re demonstrating that they don’t have control over you.
b. Protect yourself. If you can’t walk away and are being physically hurt, protect yourself so you can get away. Your safety is the first priority.
c. Report the bullying to a trusted adult. If you don’t report threats and assaults, a bully will often become more and more aggressive. In many cases adults can find ways to help with the problem without letting the bully know it was you who reported them.
d. NOTE: Report each and every bullying incident until it stops. There is no reason for you to ever put up with bullying.
e. Focus on the positive. Reflect on all the things you appreciate in your life, including your own positive qualities and gifts. Make a list and refer to it whenever you feel down.
f. Find the humor. If you’re relaxed enough to recognize the absurdity of a bullying situation, and to comment on it with humor, you’ll likely no longer be an interesting target for a
SEX: Male
AGE : 12 YO
D.O.B:
CHIEF COMPLAINT: “Really bad right knee pain” x 1month
HISTORY OF PRESENT ILLNESS: This 12 year-old, adolescent male presents today to pediatric practice complaining of “really bad right knee pain” that has been going on for 1-month month but has worsened to the point where patient had to stop playing soccer during school gym class today which prompted current visit. Patient rates pain as an 8 out of 10 and states that it is localized only to his right knee. The severity of the pain makes it hard to bear weight on the right leg and patient admits that that he has been limping for a month. Activities such as running seem to make the pain worse, while patient states that rest and …show more content…
Gastrointestinal: Patient denies stomach pain, nausea, vomiting, or diarrhea. Genitourinary: Patient denies pain, burning or stinging upon urination. No increased urination or changes in urinary patterns. Musculoskeletal: Patient admits to limp with right knee pain and weakness. Denies other joint pain, swelling, tenderness, redness. Neurologic: Patient denies numbness or tingling.
Psychiatric: SEE SOCIAL HISTORY.
Endocrine: Patient denies bruising easily.
PHYSICAL EXAMINATION:
General: Steven is a 12 year-old obese male who into exam room with Mother who was supporting him as he cannot bear weight on right leg. Appears embarrassed and anxious about PE.
Vital Signs:
Temp: 98.1
Respiration: 17
Pulse: 90
Blood Pressure: 128/84
Height: 63”
Weight: 179 lbs
BMI: 31.7 Skin: Open and closed comedones throughout face. No erythema, lesions.
Head: Head is normocephalic, atraumatic
Eyes: PERRLA, sclera anicteric, no erythema, injection, discharge. VA 20/20 individually and bilaterally uncorrected. Ears: EAC clear bilaterally, TMs shiny grey, hearing is grossly intact bilaterally.
Nose: Patent nares bilaterally, no discharge or sinus …show more content…
Walk away from the bully. Bullies want to know they have control over your emotions so don’t react with anger or retaliate with physical force. If you walk away, ignore them, or calmly and assertively tell them you’re not interested in what they have to say, you’re demonstrating that they don’t have control over you.
b. Protect yourself. If you can’t walk away and are being physically hurt, protect yourself so you can get away. Your safety is the first priority.
c. Report the bullying to a trusted adult. If you don’t report threats and assaults, a bully will often become more and more aggressive. In many cases adults can find ways to help with the problem without letting the bully know it was you who reported them.
d. NOTE: Report each and every bullying incident until it stops. There is no reason for you to ever put up with bullying.
e. Focus on the positive. Reflect on all the things you appreciate in your life, including your own positive qualities and gifts. Make a list and refer to it whenever you feel down.
f. Find the humor. If you’re relaxed enough to recognize the absurdity of a bullying situation, and to comment on it with humor, you’ll likely no longer be an interesting target for a